Active NPI
James Harland Kirk, MSW, LCSW
- Clinical Social Worker
- Crown Point, IN
National Provider Identifier
1710976980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34003727A
- Practice address
- 9301 Madison St
Crown Point, IN 46307-7745 - Phone
- (219) 662-5000
- NPI assigned
- Oct 19, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34003727A | IN | Primary |
Addresses
Primary practice location
9301 Madison St
Crown Point, IN 46307-7745
Mailing address
9301 Madison St
Crown Point, IN 46307-7745
Phone (219) 662-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000207924 | Other | IN | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34003727A | IN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409011200000",
"number": "1710976980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9301 MADISON ST",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463077745",
"telephone_number": "219-662-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9301 MADISON ST",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463077745",
"telephone_number": "219-662-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRK",
"first_name": "JAMES",
"middle_name": "HARLAND",
"name_prefix": "Mr.",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-19",
"last_updated": "2014-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34003727A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000207924",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Crown Point, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.